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Increasing active travel to school: are we on the right track? A cluster randomised controlled trial from Sydney, Australia
Wen LM, Fry D, Merom D, Rissel C, Dirkis H, Balafas A
Preventive Medicine 2008 Dec;47(6):612-618
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effectiveness of a program to increase walking to and from school. DESIGN: A cluster randomised controlled trial. SETTING: 24 primary public schools in inner west Sydney, Australia. PARTICIPANTS: 1,996 students aged 10 to 12 years and their parents. INTERVENTION: A two-year multi-component program included classroom activities, development of school travel access guides, parent newsletters and improving environments with local councils. MEASURES: Two measures were used: a survey completed by students on how they travelled to and from school over five days, and a survey completed by their parents on how their child travelled to and from school in a usual week. RESULTS: The percentage of students who walked to and from school increased in both the intervention and control schools. Data from parent surveys found that 28.8% of students in the intervention group increased their walking, compared with 19% in the control group (a net increase of 9.8%, p = 0.05). However this effect was not evident in the student data. CONCLUSION: The study produced a mixed result, with a high variation in travel patterns from school to school. Intervention research should address the complexity of multiple factors influencing student travel to school with a focus on changing local environments and parents' travel to work.
Copyright by Academic Press.

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